The social, economic and political impact of the global HIV/AIDS epidemic.
OBJECTIVE
This paper reviews the themes emerging from reports of the many social, economic and political effects of the HIV/AIDS epidemic on individuals, nations and the world. The impact of the global HIV/AIDS epidemic has been felt in every facet of society.


METHODS
The impact of the epidemic is described in five areas: (1) challenges and changes to traditional public health approaches to infectious diseases and sexually transmitted diseases; (2) adjustments to 'standard' clinical research and drug regulatory practices; (3) emphasis on the importance of personal behaviors and behavioral approaches in controlling the epidemic; (4) revealing the complexity of and recognizing the need to monitor the impacts of HIV/AIDS; and (5) highlighting the difficulties of, and need for, the international responsiveness to address HIV/AIDS. The oral health community's response to the epidemic is briefly described.


CONCLUSIONS
Although in its second decade, the epidemic is still in its early stages of evolution. The challenges lie in the development and perpetual evolution of strategies to respond to the epidemic locally while thinking and acting globally. The international oral health community is one of many that has played and must continue to play an active role in a multi-disciplinary effort needed to curb this epidemic.
Kleinman
D V
DV
National Institute of Dental Research, National Institute of Health, Bethesda, MD 20892, USA.
D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control / Q000635:transmission; D014943:Global Health; D015658:HIV Infections / Q000191:economics* / Q000517:prevention & control* / Q000635:transmission; D015438:Health Behavior; D006291:Health Policy; D006301:Health Services Needs and Demand; D006801:Humans; D007391:International Cooperation; D019242:Oral Medicine; D011635:Public Health Administration; D012106:Research; D012959:Socioeconomic Factors